2026 NPPES data Neurology with Special Qualifications in Child Neurology Physician NPI 1366472524 M.D.
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EDWARD KOVNAR, M.D.

Neurology with Special Qualifications in Child Neurology Physician in MILWAUKEE, Wisconsin. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
482
Medicare Part D claims · 19 beneficiaries · Neurology with Special Qualifications in Child Neurology Physician avg: 359
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: EDWARD KOVNAR, M.D. is a Neurology with Special Qualifications in Child Neurology Physician ([object Object]) practicing in MILWAUKEE, Wisconsin with a Medicare Part D prescribing footprint of 482 claims across 19 beneficiaries — 13% brand-name prescribing .

What stands out: EDWARD KOVNAR, M.D. filed 482 Medicare Part D claims in 2023 across MILWAUKEE, Wisconsin. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

EDWARD KOVNAR, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

EDWARD KOVNAR, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 07/04/2006

NPI 1366472524

Primary specialty

Neurology with Special Qualifications in Child Neurology Physician

Niche

1,803 US NPIs in this specialty

Medicare Part D claims

482 34% vs specialty avg

2023 prescription claims

Specialty avg: 359

Specialty distribution in Wisconsin

How Neurology with Special Qualifications in Child Neurology Physician compares to other specialties among Wisconsin providers

Wisconsin providers

Neurology with Special Qualifications in Child Neurology Physician share within Wisconsin

1. Neurology with Special Qualifications in Child Neurology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Neurology with Special Qualifications in Child Neurology Physician share within Wisconsin

Specialty board-certification context

Estimated specialty board-certified rate — Neurology with Special Qualifications in Child Neurology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Neurology with Special Qualifications in Child Neurology Physician ABMS/AOA estimate

Est. board-certified rate (Neurology with Special Qualifications in Child Neurology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Neurology with Special Qualifications in Child Neurology Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

EDWARD KOVNAR, M.D. is a Neurology with Special Qualifications in Child Neurology Physician provider practicing in MILWAUKEE, Wisconsin, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1366472524. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

EDWARD KOVNAR, M.D. appears in the CMS NPPES registry as a Neurology with Special Qualifications in Child Neurology Physician provider holding M.D. credentials at 3003 W GOOD HOPE RD, MILWAUKEE, WI, 53209, with a listed phone of (414) 352-3100. NPI 1366472524 was issued on 07/04/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KOVNAR most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 482 prescription claims written by this provider, covering 19 Medicare beneficiaries and totaling roughly $160K in drug spend, split 13% brand-name and 87% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Neurology with Special Qualifications in Child Neurology Physician is a narrow specialty nationwide, with 1,803 enrolled providers across 51 states and an average of 359 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

3003 W GOOD HOPE RD
MILWAUKEE, WI 53209

Provider Details

NPI 1366472524
Specialty Neurology with Special Qualifications in Child Neurology Physician
Credentials M.D.
Gender Male
NPI Issued 07/04/2006

Hospital and facility affiliations

Facilities where EDWARD KOVNAR, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

AURORA ADVANCED HEALTHCARE, INC.
MILWAUKEE, WI

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Typical

EDWARD KOVNAR, M.D. — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 482 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

482
Total Claims
$160K
Total Drug Cost
19
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
664
Total Day Supply
19,433
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$105K
Generic Drug Cost
$54K

Patient Demographics

Average Patient Age
32.1 years
Avg HCC Risk Score
0.72
Age Distribution
<65: 19, 65-74: 0, 75-84: 0, 85+: 0

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Levetiracetam
39
Clonazepam
37
Divalproex Sodium
33
Risperidone
30
Carbamazepine Er
Carbamazepine
29
Oxcarbazepine
29
Clobazam
24
Clonidine Hcl
22
Levocarnitine
Levocarnitine (With Sugar)
21
Phenobarbital
19

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Neurology with Special Qualifications in Child Neurology Physician Overview

How EDWARD KOVNAR, M.D. fits within the Neurology with Special Qualifications in Child Neurology Physician landscape nationally.

1,803
Neurology with Special Qualifications in Child Neurology Physician Providers in US
51
States with Neurology with Special Qualifications in Child Neurology Physician
359
Avg Claims per Provider

EDWARD KOVNAR, M.D.'s 482 claims are above the specialty average of 359.

Nearby Neurology with Special Qualifications in Child Neurology Physician Providers in Wisconsin

Other clinicians with the same primary specialty enrolled in Wisconsin, drawn from the same CMS NPPES roster as KOVNAR.

Compare Neurology with Special Qualifications in Child Neurology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is EDWARD KOVNAR, M.D.'s specialty?
EDWARD KOVNAR, M.D. specializes in Neurology with Special Qualifications in Child Neurology Physician and practices in MILWAUKEE, Wisconsin. Credentials: M.D..
How much does EDWARD KOVNAR, M.D. prescribe under Medicare Part D?
In 2023, EDWARD KOVNAR, M.D. wrote 482 Medicare Part D claims totaling $160K in drug costs for 19 beneficiaries.
Where is EDWARD KOVNAR, M.D. located?
EDWARD KOVNAR, M.D. is located at 3003 W GOOD HOPE RD, MILWAUKEE, WI, 53209. Phone: (414) 352-3100.
What is EDWARD KOVNAR, M.D.'s NPI number?
EDWARD KOVNAR, M.D.'s National Provider Identifier (NPI) is 1366472524, issued on 07/04/2006.
Does EDWARD KOVNAR, M.D. prescribe more brand-name or generic drugs?
EDWARD KOVNAR, M.D.'s prescribing is 13% brand-name and 87% generic drugs by claim count, with $105K in brand drug costs.
How many Neurology with Special Qualifications in Child Neurology Physician providers are there in the US?
There are 1,803 Neurology with Special Qualifications in Child Neurology Physician providers across 51 states in the US. The average Neurology with Special Qualifications in Child Neurology Physician provider writes 359 Medicare Part D claims per year.
What drugs does EDWARD KOVNAR, M.D. prescribe most often?
Based on 2023 Medicare Part D data, EDWARD KOVNAR, M.D.'s most frequently prescribed drugs include Levetiracetam, Clonazepam, Divalproex Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does EDWARD KOVNAR, M.D. accept Medicare?
EDWARD KOVNAR, M.D. appears in CMS Medicare data with 482 Part D claims and 19 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify EDWARD KOVNAR, M.D.'s credentials?
EDWARD KOVNAR, M.D.'s NPI is 1366472524 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology